Provider Demographics
NPI:1881816197
Name:PARCHURI, KRIS (DO)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:PARCHURI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8165 S MINGO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4668
Mailing Address - Country:US
Mailing Address - Phone:918-286-3124
Mailing Address - Fax:918-286-3764
Practice Address - Street 1:8165 S MINGO RD STE 201
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4668
Practice Address - Country:US
Practice Address - Phone:918-286-3124
Practice Address - Fax:918-286-3764
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM6328207XS0117X
AZ4737207XS0117X
KS05-33854207XS0117X
OK4109207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I04473Medicare UPIN